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Web Site Order Form Package "A"
Please fill out the form below to submit your web site development information for Package "A".  We will contact you to confirm the order.  Thank you.
Background Color:
white black navy blue beige yellow light blue
Text Color:
royal blue white black red yellow green light blue
Link Color:
green red royal blue purple
Company Logo Image Name:

Site Name:

Home Page Name:

Headline Area:

Page 1 Image Name:

Page 1 Text Summary:

Page 1 Text Body:
Page 2 Name:

Page 2 Image Name:

Page 2 Text:
Page 3 Name:

Page 3 Image Name:

Page 3 Text:
Page 4 Name:

Page 4 Image Name:

Page 4 Text:
Page 5 Name:

Page 5 Image Name:

Page 5 Text:
Page 6 Name:

Page 6 Name:

Page 6 Name:
Company Name:

Contact Name:

Address:

Address 2:

City: & State: & Zip:


Country:

Phone:

FAX:

E-Mail:

Comments:

When the above information is completed, click on the following
"SUBMIT FORM" button to automatically send it to us...
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Mailing Address:
P.O. Box 278
Louisville, Kentucky 40201-0278 USA
Phone: (502) 212-7500
FAX: (502) 212-7504
E-Mail: info@ud.net